Question Categories: Endocrinology

PLAB03-146

Megan is a 35 year old chef who presents to the GP requesting referral for gastric band surgery as her friend had a successful operation. She admits to consuming a very high calorie diet but feels surgery is the best option as she has failed at a number of diets in the past. She states …

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PLAB03-147

Edith is 69 years old and was recently seen at the GP surgery with malaise and generalised bone pains. She denied any other systemic symptoms including night sweats, weight loss, pain at night, reduced appetite, or changes to her bowel habits. Detailed examination did not reveal any obvious cause for her symptoms and thus blood …

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PLAB03-148

Margaret is 40 years old and has longstanding symptoms of fatigue and muscle cramps. More recently, hyperpigmentation has been noted on her palmar creases and Addison’s disease is suspected. Which of the below clinical features would be least in-keeping with her suspected diagnosis?

PLAB03-149

Mr Ahmed is 45 years old and presented recently to the GP with a three week history of irritability and weight loss. He is normally fit and well. Systems examination revealed a smooth, non-tender goitre. He has returned to discuss the results of the blood test that was taken. Apart from a regular pulse rate …

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PLAB03-150

A 30 year old lady presents with a 3 day history of sore throat, fever and coryzal symptoms. Past medical history is unremarkable. Observations are normal except for temperature 37.6 °C and regular pulse of 107bpm. On examination, her throat looks normal. Her thyroid gland is swollen and tender to palpate. What is the likely …

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PLAB03-151

You review a 40 year old lady who is distressed by excessive facial and body hair. She has a complex medical history. You take a thorough history to determine a reason for hirsutism. Which one of the following reasons is not known to cause hirsutism?

PLAB03-152

You review a 35 year old male who is having investigations to exclude Phaeochromocytoma. You discuss the condition at more length. Which one of the following statements about Phaeochromocytoma is least correct?

PLAB03-078

You are doing a medication review with Mr Singh who has recently been started on Empagliflozin for his poorly controlled Diabetes. Which one of the following side effects is most associated with Empagliflozin?

PLAB03-092

Amir is 15 years old and is brought to A&E generally unwell with vomiting and abdominal pain. He also describes polyuria and excessive thirst for 3 weeks. You suspect Diabetic Ketoacidosis (DKA) from the history. Which one of the following examination findings is least typical with DKA?

PLAB03-048

A 70 year old patient with a history of Type 2 Diabetes and Hypertension presents with a 1 week history of frank painless haematuria. He is on the following medications; Metformin, Gliclazide, Amlodipine, Pioglitazone, Ramipril and Atorvastatin. His latest HbA1c is 68 and his blood pressure is 139/72. An urgent referral is made to urology. …

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